All citations for Deep Creek Health & Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Deep Creek Health & Rehabilitation

Last standard health inspection on record

September 19, 2025

Showing 1 to 25 of 26 citations

  1. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2019).

  2. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2019).

  3. No harm, with potential for more than minimal harm

    Meet other general requirements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0100, Construction Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    A waiver was granted (December 7, 2020).

  4. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2019).

  5. No harm, with potential for minimal harm

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  6. No harm, with potential for minimal harm

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  7. No harm, with potential for minimal harm

    Include a process for Emergency Preparedness collaboration.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  8. No harm, with potential for minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  9. No harm, with potential for minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  10. No harm, with potential for minimal harm

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  11. No harm, with potential for minimal harm

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  12. No harm, with potential for minimal harm

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  13. No harm, with potential for minimal harm

    Establish policies and procedures for medical documentation.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  14. No harm, with potential for minimal harm

    Establish policies and procedures for volunteers.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  15. No harm, with potential for minimal harm

    Create arrangements with other facilities to receive patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  16. No harm, with potential for minimal harm

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  17. No harm, with potential for minimal harm

    Develop a communication plan.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  18. No harm, with potential for minimal harm

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  19. No harm, with potential for minimal harm

    Provide emergency officials' contact information.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  20. No harm, with potential for minimal harm

    Establish methods for sharing information.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0033, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  21. No harm, with potential for minimal harm

    Provide a means of sharing information on occupancy/needs.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  22. No harm, with potential for minimal harm

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  23. No harm, with potential for minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  24. No harm, with potential for minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

  25. No harm, with potential for minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 31, 2019).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.